Tucker G J
Department of Psychiatry and Behavioural Sciences, University of Washington, Seattle, USA.
Psychiatr Clin North Am. 1998 Sep;21(3):625-35, vi. doi: 10.1016/s0193-953x(05)70027-7.
Seizure disorders can be mistaken for psychiatric disorders and, the two have a number of poorly understood interrelations. Disruptions of consciousness, motor activity, hallucinations, and abrupt mood and anxiety changes can all be seizure manifestations caused by cortical neuronal discharges. This article presents the classification and proposed psychopathology of seizure disorders. It then reviews the psychiatric conditions that frequently mimic elements of such seizure disorders, giving hints that will allow the clinician to correctly identify seizures that are creating psychiatric presentations. Finally, this article makes clear the situations in which anticonvulsant medications may be of value when nothing else seems to be working.
癫痫发作性疾病可能会被误诊为精神疾病，而且这两者之间存在许多尚未被充分理解的相互关系。意识障碍、运动活动异常、幻觉以及突发的情绪和焦虑变化都可能是由皮质神经元放电引起的癫痫发作表现。本文介绍了癫痫发作性疾病的分类和拟议的精神病理学。然后回顾了经常模仿此类癫痫发作性疾病症状的精神疾病情况，为临床医生提供提示，以便正确识别引发精神症状的癫痫发作。最后，本文明确了在其他方法似乎都无效时抗惊厥药物可能有用的情况。
